Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 08002319A | IN |
N | 111NN1001X | Nutrition | 08002319A | IN |
NPI | 1588866701 |
---|---|
Provider Name | Dr. Joseph James Paun |
First Address | Highland, IN 46322-2388 |
Second Address | Highland, IN 46322-2388 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 04/09/2007 |